Hossam A Elwakeel

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OBJECTIVE Anal fissure is a common painful condition affecting the anal canal and causes considerable morbidity and reduction in quality of life. Surgical treatment has been associated with a degree of incontinence in up to 30% of patients. This study discussed the results of clove oil 1% cream in healing of chronic anal fissure. METHOD A single-blind(More)
The National Kidney Foundation Dialysis Outcomes Quality Initiative guidelines favor autogenous vein for arteriovenous fistulas. This report describes our technique and results of arteriovenous fistulas between brachial artery and its transposed venae comitantes. The procedure was done in two stages, first anastomosis between brachial artery at the elbow(More)
AIM In this study we present our experience with an alternative technique of vascular access for hemodialysis in which a prosthetic graft was placed as subcutaneous arm loop and anastomosed to the axillary artery and vein. METHODS Patients included in this study were those with end stage renal disease (ESRD) requiring hemodialysis access who did not have(More)
Warfarin is the most commonly prescribed anticoagulant drug; however, a narrow therapeutic range and a high risk of bleeding or stroke complicate its clinical use. Warfarin resistance was defined as prolonged warfarin requirements of more than 15 mg/day to achieve therapeutic anticoagulation or failure to achieve therapeutic anticoagulation with more than(More)
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